Dina Louise Maddox, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227022072 Issued in IL

Practice address

1503 Woodbridge Rd Apt 1G
Joliet, IL 60436-1389

Phone

(623) 640-9330

NPI assigned

May 15, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1467201145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 WOODBRIDGE RD APT 1G",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604361389",
            "telephone_number": "623-640-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 WOODBRIDGE RD APT 1G",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604361389",
            "telephone_number": "623-640-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "DINA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-15306",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227022072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Maatman, OTR/L
• Michael John Mabborang, D.D.S.
• Sophia A Macarol, PAC
• Yvonne Macdonald-Hames, LCSW
• Robert Kenneth Macnab, D.P.M.
• Richard L Madison, LCSW
• Christina Magana, LCSW
• Chiqui Ann Banal Magat
• Daniel Magdziarz, DO
• Lauren Elizabeth Mahaffey, LCSW

• Massage Therapist in Joliet, IL
• Providers in Joliet, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.